End-of-Life Spending and Healthcare Utilization Among Older Adults with Chronic Obstructive Pulmonary Disease
作者: Anand S. IyerChristine A. GoodrichMark T. DransfieldShama S. AlamCynthia J. BrownC. Seth LandefeldMarie A. BakitasJeremiah R. Brown
作者单位: 1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL
2Center for Outcomes and Effectiveness Research and Education, Department of Medicine University of Alabama at Birmingham, Birmingham, AL
3Lung Health Center, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL
4Center for Palliative and Supportive Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL
5The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, NH
6Veterans Affairs Medical Center, Birmingham, AL
7Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL
8School of Nursing, University of Alabama at Birmingham, Birmingham, AL
9Department of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Lebanon, NH
10Department of Epidemiology, Geisel School of Medicine, Dartmouth College, Lebanon, NH
刊名: The American Journal of Medicine, 2020, Vol.133 (7), pp.817-824.e1
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjmed.2019.11.024
关键词: Chronic obstructive pulmonary diseaseCostHealthcare utilizationHospicePalliative care
原始语种摘要: Abstract(#br)Background(#br)End-of-life spending and healthcare utilization among older adults with COPD have not been previously described.(#br)Methods(#br)We examined data on Medicare beneficiaries aged 65 years or older with chronic obstructive pulmonary disease (COPD) who died during the period of 2013-2014. End-of-life measures were retrospectively reviewed for 2 years prior to death. Hospital referral regions (HRRs) were categorized into quintiles of age-sex-race-adjusted overall spending during the last 2 years of life. Geographic quintile variation in spending and healthcare utilization was examined across the continuum.(#br)Results(#br)We investigated data on 146,240 decedents with COPD from 306 HRRs. Age-sex-race-adjusted overall spending per decedent during the last 2 years of...
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影响因子:4.768 (2012)

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